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有氧运动与抗阻运动训练对老年人炎症细胞因子及免疫系统的调节作用

Inflammatory cytokines and immune system modulation by aerobic versus resisted exercise training for elderly.

作者信息

Abd El-Kader Shehab M, Al-Shreef Fadwa M

机构信息

Department of Physical Therapy, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.

Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Afr Health Sci. 2018 Mar;18(1):120-131. doi: 10.4314/ahs.v18i1.16.

Abstract

BACKGROUND

Aging is characterized with immunosenescence associated with a hyper-inflammatory state, characterized by elevated circulating levels of pro-inflammatory mediators. Physical exercise is a potential strategy for improving the immune system dysfunction and chronic inflammation that accompanies aging. However, there is a need to differentiate between aerobic and resistance exercise training regarding human immune system and systemic inflammation among the elderly Saudi population.

OBJECTIVE

The aim of this study was to compare the impact of 6 months of aerobic versus resisted exercise training on inflammatory cytokines and immune system response among elderly.

MATERIAL AND METHODS

Sixty previously sedentary elderly subjects participated in this study, their age ranged from 61-66 years. All Subjects were randomly assigned to supervised aerobic exercise intervention group (group A, n=40) or resistance exercise group (group B, n=40). Number of CD3,CD4,CD8 T cells count and CD4/CD8 ratio were quantified, IL-6, TNF-α and IL10 were measured before and after 6 months, at the end of the study.

RESULTS

The mean values of CD3, CD4 and CD8 T cells count and IL-10 were significantly increased, whereas the mean values of CD4/CD8 ratio, IL-6 and TNF-α were significantly decreased in group (A) and group (B). Also; there were significant differences between mean levels of the investigated parameters in group (A) and group (B) after treatment.

CONCLUSION

The current study provides evidence that aerobic exercise is more appropriate in modulating the immune system and inflammatory markers among the elderly population.

摘要

背景

衰老的特征是免疫衰老,伴有高炎症状态,其特点是促炎介质的循环水平升高。体育锻炼是改善伴随衰老出现的免疫系统功能障碍和慢性炎症的一种潜在策略。然而,在沙特老年人群中,需要区分有氧运动和抗阻运动训练对人体免疫系统和全身炎症的影响。

目的

本研究的目的是比较6个月的有氧运动与抗阻运动训练对老年人炎症细胞因子和免疫系统反应的影响。

材料与方法

60名以前久坐不动的老年人参与了本研究,年龄在61 - 66岁之间。所有受试者被随机分配到有监督的有氧运动干预组(A组,n = 40)或抗阻运动组(B组,n = 40)。在研究结束时,于6个月前后对CD3、CD4、CD8 T细胞计数及CD4/CD8比值进行定量,检测白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和白细胞介素-10(IL-10)。

结果

A组和B组中,CD3、CD4和CD8 T细胞计数及IL-10的平均值显著增加,而CD4/CD8比值、IL-6和TNF-α的平均值显著降低。此外,治疗后A组和B组中所研究参数的平均水平之间存在显著差异。

结论

本研究提供了证据表明有氧运动在调节老年人群的免疫系统和炎症标志物方面更合适。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/6016983/3075a94fce9a/AFHS1801-0120Fig1.jpg

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